NPI: 1811562374 · EAST CHICAGO, IN 46312 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 368 | $10K |
| 2022 | 778 | $19K |
| 2023 | 3,457 | $94K |
| 2024 | 12,426 | $338K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 2,016 | 1,819 | $131K | |
| 99393 | 668 | 633 | $55K | |
| 99392 | 623 | 593 | $54K | |
| T1015 | Clinic service | 5,304 | 4,720 | $53K |
| 99391 | 657 | 547 | $51K | |
| 99394 | 412 | 391 | $36K | |
| 99214 | 583 | 427 | $30K | |
| 90471 | 1,715 | 1,508 | $21K | |
| 90472 | 917 | 848 | $17K | |
| 99204 | 81 | 65 | $5K | |
| 83655 | 252 | 239 | $3K | |
| 96110 | 252 | 223 | $2K | |
| 90474 | 91 | 83 | $1K | |
| G0467 | Fqhc visit, estab pt | 90 | 51 | $821.50 |
| 90651 | 105 | 86 | $602.24 | |
| 85018 | 252 | 239 | $531.47 | |
| 90656 | 232 | 229 | $230.54 | |
| 96372 | 35 | 35 | $226.61 | |
| 90686 | 334 | 269 | $181.11 | |
| 90620 | 50 | 46 | $9.78 | |
| 90734 | 84 | 80 | $0.00 | |
| 90633 | 144 | 137 | $0.00 | |
| 3078F | 722 | 696 | $0.00 | |
| 90671 | 374 | 347 | $0.00 | |
| 90710 | 46 | 40 | $0.00 | |
| 90681 | 28 | 28 | $0.00 | |
| 90715 | 28 | 26 | $0.00 | |
| 3074F | 770 | 743 | $0.00 | |
| 90697 | 134 | 121 | $0.00 | |
| 90698 | 30 | 30 | $0.00 |